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HomeMy WebLinkAbout24941-zFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24941 Z Date JUNE 5, 1998 Permission is hereby granted to: BENTE SNELLENBURG 1935 OLD WOODS PATH SOUTHOLD~NY 11971 for : ERECTION OF A 4' FENCE IN FRONT YARD AND 6'6" FENCE IN SIDE AND REAR YARDS AS APPLIED FOR. at premises located at 1935 County Tax Map No. 473889 Section 087 pursuant to application dated MAY Building Inspector. OLD WOODS PATH $OUTHOLD Block 0002 Lot No. 021 4 1998 and approved by the Fee $ 35.00 ORIGINAL Rev. 2/19/98 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BOARD OF REALTR 3 SETS OF PLANS SURVEY ................... ClIECK ..................... "SEPI~'I C FORH .............. HAlL TO; INSTRUCTIONS a. This application must be coml~let~ly filled ~n 8y 4-ypewnter or in Jill"and sul3mitted to the Buddmg Inspector, with 3 sets of plans, accurate plot plan to scale. ;Fee according to schedule. b. Plot, plan ~hg.wing'location o'~ l:ot and of build~gs on premises, relation'ship to adjoining premises or pubic streets or areas, and giv~g a det~led, descrjptipn of layout of property must be drawn on the diagram which is pa~ of this appQ- cation. "' .v ,: ~ ~ '~" ~ :.'~: ', ' c. The work covered by t~s application may not be commenced before issuance of BuQding Permit. d. Upon approval of this application, the Building Inspector will issued a Bufld~g Pe~it to the appUcant. Such pe~it sh~l be kept on the premises avaQable for ~pection throughout the work. e. No build~g, shall be 9ccupied ~ fised in'wh61e or~ p~t for an? ~fi~ose-whatever ~ntit a Ce~ificate o~Occup~cy shall have been granted by ~e Building Inspector. , ~ ,. · ~ , ~PPLICATION IS HEREBY MADE to thE Build~g Depmment for the issuance ora B~tding Pemit pursuant to the Buile~ing Zone O,rd~ance .~ the Town Of Sou~hold S~tfolk County New ,Yotk,~d other appUcable ~ws, QEd~ces or Regulations, for the constmctmn of buQdmgs, addiQons or alterations, or for removaJ or demolition, as here~ described. The~ppUcant,~, ,.. agees., to'comply with. ~ applicable. ,. ,l~ws. ordinances, . . ,, , . bugd~g, ~,c°de' ~using. code,~ and, regulations, and to admit authorized mspecto~ on premises and m buddmg for nec~~~~ ....... :g8 ' ' :~ (Mailing address of applicant) State whether a~,'i~' ~~.~rchitect, e,gineer, general co~tractor, electrician.. ~~~*" _.~~,~, . . pl ~Tber or b~i3~ er. : :Li~ ~OJT~U~O:'~ , .tACit1 t, (as on the tax roll or latest deed If applicant is a corporatioff;;s~g~'~t~:~'b:~t~l~ ~tl~l~rized officer. u~ame'aaa tti[e oi ~jg~¢o,[atq~9~nc¢,~ Builder's L~cense No .......................... Plumber's License No ......................... Electric. ian's License No Other Trade's License No ...................... Location of land on which proposed work will be' done... ! .~.~..,~. House Nmnber Street Hamlet County Tax Map No. 1000 Section .. ~ ~ L. ~. ~ ...... Block . .{ ~x ~. ~ ......... Lot.. ~* (.'.~. 0 Subdivision ..................................... Filed Map No ............... Lot ............... (Name) , , 2. State existing use and occupancy of premises and intended use and occupancy of propofed construction: a. Existing use and occupancy ............................................... b. h, tended use and occupancy' .~..t...'~.., .6 *' ~ .t.~...~...~..~../_ ~/ ,~t.~ ~.-~..~. .~..~. ~ ~ 3. Nature of work (check which applicable): New Building .......... Addition .......... Alteration ........... Repair .............. Removal .............. Demolition .............. Other Work.. ~I:~.~'~. · · . · ' (Description) .U, ..-'. Fee 4. Estimated Cost ...... /...~..6 .............................................................. (to be paid on filing this application) 5. If dwelling, number of dwelling units ...... / ........ Number of dwelling units on each floor ................ If garage, number of cars .............................................. 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use ..................... 7. Dimensions of existing structures, if any: Front ............... Rear .............. Depth .............. Height ............... Number of Stories .......................................... Dimensions of same structure with alterations or additions: Front ................. Rear ................. Depth ...................... Height ...................... Number of Stories .............. ~ ...... 8. Dimensions of entire new construction: Front ............... Rear ............... Depth .............. Height ........... r ·. · Number of Stories ....................................................... 9. Size of lot: Front .. L."&g).~ ............ Rear. 4{..~1~.~_'. ............ Doeth ,.~.~.~.."..~t.~ .~ ........ 10. Date of Purchase . .I. ~.~ .g~ ..................... Name of Former Owner ~.d.. 0., .,~,,gl~.~tg.%~. 11. Zone or use district in which premises are si!uated ..... /q., ~[ .'~'.vq. I O. ,&~]..'[./. ~.~ ....................... 12. Does proposed construction violate any zomng law, ordina.n, ce or regulation: ../~.Q ........................... 13. Will lot be regraded ........... 1~. ?. ............. Will excess fill be removed froIn premises: Yes 14. Name of Owner of premises . ~.~. IPt. d.~' 8:. ~I:'. ..... Address ................... Phone No. ~.¢ .~". ?J .7.,*~o.. Name of Architect .... . ....................... Address ................... Phone No...~ ............. d"' ~l~ame of Contractor ~[q.~. I(g~/Y~,¢IV...~..~; ,~"... Address l~,, ~'.{.4/[I.C N.~_.,... Phone No. 7...~. .......... [15. ~s this property within 300 feet of a tidal wetland? *Yes.'..~.... No ......... ~ *If yes, Southold Town Trustees Permit may be required. *~'t4l~t'.l~ ~ ~ ~' ~' ~ ' PLOT DIAGRAM '". " ' .R..,¢.rTfa,,, Locate clearly and distinctly all buildings, whether existing or proposed, and, inuicate all set-back dmaensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. APPROVED AS NOTED DATE: ~ B.P. # ~ NOTIFY BUILDING DEPAI~I~iEII~I~ AT 7S5-Ie02 e AM TO 4. PM FOII'~lqE FOU.QWING INSP~IION8: I FOUNOAYION - 1WO RBIUIRED FOR I'OUREO CONCIITE 2, ,ROUGH -'FllNII~ · I~JJMBING '3, INSULATION 4. FINAL - CONS'rRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS STATE OF NEW YORK__ cou ¥ hi'.<,, s.s ...... ~ {,.~,~..~.k. ~.:..~. ~.. ~..~..~ .~.~..~....U..~.~,,, ..... being duly sworn, deposes and says that he is the applicant (Name of individual signing contract) above named. He is the .......... ~..~. ............................................................................ '(Contractor, agent, corporate officer, etc.) of said owner or owners, and is duly authorized to perform or have.performed the said work and to make and file this application; that all statements contained in this application are true tO the best of his knowledge and belief; and that the work will be performed in the manner set forth in. the application filed the~'ewith. Sworn to befor~.,m,g,this ....... ..... . ....... ,,.w Notary Public,/~'~'/I~' .~......_'~~ .... Countg_._ . ~ ~ ·